Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stacy Lynn Dibble

Individual provider Physical Therapy Assistant · NPI 1053749762

Mrs. Stacy Lynn Dibble is a Physical Therapy Assistant in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
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Practice location Address checks out

9978 57th Ave N
St Petersburg, FL 33708-3428
Phone: (585) 356-4494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA34677 (FL)

Record details

NPI number1053749762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2013
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

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